Pittman, Tabatha J

Pittman, Tabatha J is an individual health care provider with primary practice located at 6030 W University Blvd , Odessa TX 79764-8530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pittman, Tabatha J can be contacted via phone (432) 640-6600.

Contact Information

Primary practice address
6030 W University Blvd Odessa TX 79764-8530
Phone: (432) 640-6600
Fax: (432) 640-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09082 Texas

Profile Details

NPI number 1942361936
LBN Legal business name Pittman, Tabatha J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942361936 NPPES
Texas MEDICAID 339261502

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